Individual
DR. DORCAS OLUDIMIMU ADARAMOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., MPH
Contact information
Practice address
751 N RUTLEDGE ST STE 2100, SPRINGFIELD, IL 62702-4968
(217) 545-8000
(217) 545-7063
Mailing address
PO BOX 19636, SPRINGFIELD, IL 62794-9636
(217) 545-8000
(217) 545-7163
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036-143313
IL
2084P0800X
Psychiatry Physician
Primary
036-143313
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036-143313
STATE LICENSE
IL
Enumeration date
07/06/2012
Last updated
11/14/2022
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